Background to this inspection
Updated
6 July 2022
Inspection team
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own home.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we held about the service, including information relating to their registration and any notifications we held on events the provider is required to tell us about.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We used all of this information to plan our inspection.
During the inspection
Inspection activity started on 25 May 2022 and ended on 13 June 2022. We visited the location’s office location on 25 May 2022.
The registered manager was not available on the day of the inspection, and we spoke with a director of the service and a team leader. We reviewed records relating to the care and support for three people who used the service. We looked at records of recruitment, training and supervision for four care workers and information relating to the management of the service such as incidents and complaints.
We made calls to two family members of people who used the service and three care workers. We reviewed policies and records of team meetings and audits we had asked the provider to supply.
Updated
6 July 2022
About the service
SureCare Chelsea and Fulham is a domiciliary care agency. The service provides personal care to children and young people with disabilities. At the time of our inspection the service was providing personal care to four people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People’s relatives told us they were satisfied with the service and that care workers and managers engaged positively with them and their children. A family member told us, “Everything is fine, they are so nice and good.”
People were supported to communicate their views and speak up about what they wanted from their care. Care workers understood how people communicated and the support they needed to do this, which was supported by effective systems of assessment and care planning. Relatives spoke of their family members being treated with dignity and respect.
People were safeguarded from abuse and poor treatment by appropriate safeguarding measures and a positive culture which encouraged care workers to speak up and ask questions when they had concerns. Care workers were confident that their concerns would be taken seriously.
Risks to people’s wellbeing were assessed with appropriate plans in place to minimise possible harm. Care workers had the right skills and suitable plans to support people to mobilise safely. Electronic recording systems were used effectively to ensure that medicines were managed safely.
Support plans were developed in a way which considered people’s needs and preferences for their care and helped them to reach agreed outcomes. Plans were reviewed frequently with people and their families as their needs changed.
People’s relatives and staff spoke of a positive culture in the service, with managers engaging with people to identify concerns at an early stage and to resolve this openly and promptly. Managers encouraged care workers to develop their skills and used effective systems of audit to ensure the quality of the service continuously improved.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We have made a recommendation about how the provider prepares alternative formats of key information to ensure they can fully meet the Accessible Information Standard.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection:
We registered this service on 27 January 2021 and this was the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.